Ngaba ngamanye amaxesha uziva ngathi izandla zakho ziyangcangcazela xa uthatha into ethile, ubhala, okanye ubamba ikomityi? Mhlawumbi ilizwi lakho liyangcangcazela kancinci xa uthetha. Le yimeko abantu abaninzi abanayo, kwaye inokuba yinto ecaphukisayo. Makhe sithethe ngale nto ngokweenkcukacha nangokulula namhlanje.
Yintoni 'i-Essential Tremor'?
Ngamafutshane, i-Essential Tremor sisifo senkqubo yemithambo-luvo esibangela ukuba amalungu omzimba wakho, ingakumbi izandla zakho, angcangcazele ngokungalawulekiyo. Awunakukuthintela oku kungcangcazela.
Kudla ngokuchaphazela izandla zakho, kodwa kunokuchaphazela namanye amalungu omzimba wakho, njengentloko yakho kunye nelizwi. Xa le meko iba mandundu, inokwenza kube nzima ukwenza imisebenzi yemihla ngemihla efana nokutya, ukusela, kunye nokunxiba. Abantu abaninzi baneentloni kwaye baxhalabile ngezi mpawu.
Yintoni umahluko phakathi kwe-Essential Tremor kunye nesifo sikaParkinson?
I-Essential tremble kunye nesifo sikaParkinson zombini ziingxaki zokunyakaza ezibangela ukungcangcazela. Kodwa kukho umahluko omkhulu phakathi kwezi zimbini.
- Indlela okwenzeka ngayo ukungcangcazela : Umntu ongcangcazela kakhulu ungcangcazela izandla zakhe xa ezama ukwenza into ethile , njengokubamba indebe okanye ukubhala. Kodwa kwisifo sikaParkinson , ukungcangcazela kwenzeka xa ephumle . Oko kukuthi, izandla ziyangcangcazela xa zibambe into, kwaye ukungcangcazela kuncipha xa zisenza into ethile.
- Ezinye iimpawu: Isifo sikaParkinson sinokuhamba nezinye iimpawu. Umzekelo, ubunzima bokuhamba, ukuqina, kunye nokulahlekelwa kukulinganisela . Nangona kunjalo, kwi-essential tremb , uphawu oluphambili kukungcangcazela.
- Ufuzo: Ukungcangcazela okubalulekileyo kudla ngokuba lufuzo, kodwa isifo sikaParkinson asixhaphakanga kangako.
Ngoko ke, kubaluleke kakhulu ukuqonda olu tshintsho.
Ngubani onokuhlakulela i-'Essential Tremor'?
Le meko inokuvela nakubani na. Nangona kunjalo, inokwenzeka ngakumbi ukuba ivele njengoko ukhula.
Idla ngokuqala phakathi kweminyaka eli-10 neli-19, okanye phakathi kweminyaka engama-50 nengama-59. Njengoko benditshilo ngaphambili, inokuvela kwiintsapho, ngoko ke ngamanye amaxesha ibizwa ngokuba yi-"familial tremor."
Ixhaphake kangakanani le meko?
Ukungcangcazela okubalulekileyo yimeko eqhelekileyo. Iingcali ziqikelela ukuba kuchaphazela malunga ne-1% yabemi kwihlabathi liphela. Kuchaphazela malunga ne-5% yabantu abangaphezu kweminyaka engama-60 ubudala
. Lolona hlobo luqhelekileyo lokungcangcazela, kwaye lukwayenye yezona ngxaki zixhaphakileyo zokushukuma. I-Essential Tremor iyichaphazela njani umzimba wam?
Ukungcangcazela okubalulekileyo kubangela ukuba amalungu omzimba wakho angcangcazele xa uzama ukuzisebenzisa. Oku kuxhaphake kakhulu xa usebenzisa izandla zakho. Kodwa kunokuchaphazela nezinto ezifana nentloko yakho kunye nelizwi lakho.
Kukhula kancinci kakhulu kwaye kunokungabonakali kangangeminyaka. Ekuqaleni, ukungcangcazela okubalulekileyo akuyongxaki inkulu. Abanye abantu banobunzima bokwenza imisebenzi ethile, kodwa uninzi lwabantu luyaziqhelanisa nako. Kodwa njengoko imeko iqhubeka, kunokuba nzima ukwenza imisebenzi emihle. Umzekelo, ukubhala ngesandla, ukusebenzisa izixhobo, ukuthunga, okanye eminye imisebenzi efuna ukuchaneka okukhulu. Njengoko imeko isiya isiba mandundu, iziphumo zinokuba zimbi nangakumbi. Abanye abantu abakwazi ukutya okanye ukupheka ukutya bodwa ngenxa yokuxhawula izandla. Abanye banokukufumanisa kunzima ukwenza imisebenzi esisiseko efana nokubhala, ukunxiba, okanye ukuhlamba.
Zithini iimpawu ze-'Essential Tremor'?
Uphawu oluphambili
kukungcangcazela xa uzama ukusebenzisa izandla zakho. Olu ngcangcazela lunokwenzeka ngeendlela ezahlukeneyo nangamaxesha ahlukeneyo. Nazi iintlobo namaxesha aloo ngcangcazela:
- Ukungcangcazela kwesenzo: Oku kwenzeka xa wenza into ethile. Umzekelo, xa ufikelela isandla ukuze uthabathe into ethile. Oogqirha bakwabiza oku ngokuthi "ukungcangcazela kwesenzo."
- Ukungcangcazela kwesimo somzimba: Oku kwenzeka xa ubambe inxalenye yomzimba wakho kwindawo ethile. Umzekelo, xa uphakamisa ingalo yakho phambi kwakho kwaye uyibambe kwinqanaba elifanayo. Oku kukwabizwa ngokuba yi-"Postural tremor".
Ukungcangcazela okubalulekileyo phantse kuhlala kuchaphazela amacala omabini omzimba. Kodwa
kudla ngokuchaphazela icala elinye ngaphezu kwelinye. Ukongeza ezandleni, ukungcangcazela kunokuvela nakwezinye iindawo zomzimba, njengentloko, ilizwi, ubuso, kunye nomzimba. Ukungcangcazela ngokwako akuyongozi. Nangona kunjalo, xa imeko imbi kakhulu, kunokwenza kube nzima ukwenza imisebenzi yemihla ngemihla. Ekuhambeni kwexesha, kunokwenza kube nzima ukutya ngecephe, ukusela kwiglasi, ukunxiba, nokubhala. Kwezinye iimeko, ukungcangcazela kunokuba nzima ngakumbi okanye kancinci. Imizekelo:
- Uxinzelelo, ixhala , ukudinwa: Ezi zinto zinokunyusa ukungcangcazela.
- I-Caffeine : Ukusela izinto ezifana nekofu kunye neti kunokunyusa ukungcangcazela kwabanye abantu.
- Amayeza athile: Amanye amayeza anokuchaphazela nokungcangcazela.
- Utywala: Abanye abantu bafumanisa ukuba ukusela utywala obuncinci kunciphisa ukungcangcazela kwabo okwethutyana, kodwa ayilocebo lilungileyo ukusebenzisa utywala njengonyango ngenxa yomngcipheko wokuxhomekeka kubo. Kwakhona, amanye amayeza okungcangcazela anokubangela iziphumo ebezingalindelekanga xa esetyenziswa notywala. Ngoko ke kubalulekile ukuthetha nogqirha wakho malunga nokusebenzisa kwakho utywala .
Amagama amabini omele uwaqonde malunga nokungcangcazela
Xa oogqirha befumanisa ukuba kukho ukungcangcazela okubalulekileyo, bahlalutya indlela okwenzeka ngayo ukungcangcazela. Izinto ezimbini ezibalulekileyo
bubungakanani kunye
nobuninzi bokungcangcazela. Masiziqonde ngokulula ezi zinto:
- Ububanzi: Lo ngumgama oshukunyiswa sisandla sakho xa ushukumisa. Okukhona umgama umkhulu, kokukhona ubukhulu bawo bukhula. Njengoko ukungcangcazela okubalulekileyo kusanda, ubukhulu bawo buhlala bukhula. Oku kunokutshintsha xa usenza isenzo esithile okanye ubambe indawo ethile.
- Ukuphindaphinda: Inani lezihlandlo oxhawula ngazo isandla sakho libizwa ngokuba yi-tremble cycle. Ukuphindaphinda kukwenzeka kwemijikelo emingaphi ngomzuzwana. Iyunithi yokulinganisa yamazwe ngamazwe yiHertz (Hz). Kwi-essential tremble, kudla ngokubakho imijikelo yokungcangcazela emi-6 ukuya kweli-12 ngomzuzwana. Nangona kunjalo, oku kunokuncipha kancinci njengoko i-amplitude isanda, kwaye kunokwahluka kumntu nomntu.
Yintoni ebangela ukungcangcazela okubalulekileyo? Ngaba kukho into ebangela ukuba kube mandundu?
Iingcali azikayazi kakuhle ukuba kutheni i-Essential Tremor yenzeka okanye ukuba kukho into ethile eyibangelayo. Nangona kunjalo, kukho ubungqina obubonisa ukuba ibangelwa lutshintsho kwiindawo ezithile zobuchopho. Nangona unobangela ochanekileyo ungaziwa, kuyaziwa ukuba le meko inokufunyanwa njengelifa. Malunga nesiqingatha sabantu abane-Essential Tremor bayifumene njengelifa. Kubonakala ngathi yimeko elawulayo ye-autosomal. Oku kuthetha ukuba ukuba omnye wabazali bakho une-gene mutation ebangela oko kwaye wena uyifumene njengelifa, unethuba elingama-50% lokufumana le meko.
Ngaba i-Essential Tremor iyasulela?
Hayi, i-Essential Tremor ayisosifo esosulelayo. Awunakuyifumana komnye umntu, kwaye awunakuyifumana komnye umntu.
Ifunyanwa njani i-Essential Tremor?
Ugqirha wakho unokuxilonga i-Essential Tremor ngokusekelwe kwiimpawu zakho kunye novavanyo lwe-neurological.
Okwangoku akukho vavanyo luthile olunokuqinisekisa ukuba unayo okanye awunayo. Nangona kunjalo, enye yezona zinto zibalulekileyo ekufuneka uziqwalasele xa uxilonga kukuba,
Kubalulekile nokujonga ezinye izifo ezibangela iimpawu. Uvavanyo lwegazi kunye novavanyo oluhlukeneyo lwemifanekiso luya kwenziwa ukuqinisekisa ukuba akukho zifo zimbi. Zeziphi iimvavanyo ezinokwenziwa ukuze kufunyaniswe i-Essential Tremor?
Ukuba ugqirha wakho ukrokrela ukuba une-essential thrombosis, angenza olu vavanyo ukuze aqinisekise ukuba akukho ezinye iimeko:- Uvavanyo lwegazi: Olu vavanyo lunokuthintela ezinye iimeko ezifana nokungcangcazela okubalulekileyo, ingakumbi iimeko ze-thyroid, isifo sikaWilson, kunye neemeko ezinobuthi ezibangelwa zisinyithi ezifana ne-lead okanye i-manganese.
- Iskeni ye-computerized tomography (CT)
- Uvavanyo lwemfuza
- I-Magnetic resonance imaging (MRI)
- Iskeni se-Positron emission tomography (PET)
Inyangwa njani i-Essential Tremor? Ngaba ikho indlela yokuyinyanga?
Akukho nyango lokungcangcazela okubalulekileyo. Nangona kunjalo, kukho unyango olufumanekayo lokunceda ukulawula iimpawu. Iindlela eziphambili zonyango zezi:- Amayeza: Amayeza asetyenziswa kakhulu zii-beta-blockers ezifana ne-propranolol kunye namayeza okulwa nokuxhuzula afana ne-primidone. La mayeza anokunikwa eyedwa okanye zidityaniswe.
- Izixhobo eziziqhelanisayo: Kukho izixhobo ezininzi ezikhoyo ngoku ezinokunceda ukulawula ukungcangcazela, kuquka izixhobo ezixinyiweyo, izixhobo zokurhoxisa ukungcangcazela, izixhobo zokungcangcazela, kunye nokukhuthaza imithambo-luvo.
- Ityhefu yeBotulinum: Oku kuquka ukufaka inaliti kwimisipha eshukumayo. Oku kuyenza buthathaka okwethutyana imisipha kwaye kunciphisa ubunzima bokushukuma.
- Ukuvuselela ingqondo nzulu: Le yinkqubo yotyando apho isixhobo sifakwa kwindawo ethile yengqondo ethumela iimpembelelo zombane. Ezi mpembelelo zombane ziphazamisa imiqondiso ebangela ukungcangcazela okubalulekileyo. Oku kunokunciphisa ukungcangcazela kumacala omabini omzimba.
- I-ultrasound egxile kwingqwalasela: Le ndlela isebenzisa amaza esandi asebenza rhoqo kakhulu ukutshabalalisa izicwili ezikwingqondo ezibangela ukungcangcazela. Oku kutshatyalaliswa kunokunciphisa kakhulu ubunzima bokungcangcazela kwaye kuphucule ukuzinza kwesandla. Ingasetyenziselwa ukunyanga ukungcangcazela kumacala omabini omzimba.
Ukuba awonelisekanga zezinye iindlela zonyango, ugqirha wakho unokucebisa ukuvuselelwa kwengqondo enzulu okanye i-ultrasound egxile kwi-focused ultrasound. Iingxaki/iziphumo ebezingalindelekanga zonyango
Iingxaki kunye nemiphumo emibi yonyango lokungcangcazela okubalulekileyo ixhomekeke kwizinto ezininzi, kuquka uhlobo lonyango. Ugqirha wakho unokuchaza ngcono ukuba zeziphi iziphumo ebezingalindelekanga ezinokwenzeka kwimeko yakho ethile kunye nendlela yokuzilawula. Ndingazinyamekela njani/ndizilawula njani iimpawu?
I-Essential Tremor kufuneka ixilongwe kwaye inyangwe ngugqirha oqeqeshiweyo nofanelekileyo. Ayisiyongxaki esongela ubomi. Nangona kunjalo, ukungcangcazela kunokuba luphawu lwezinye iimeko. Ezinye zezi meko zinokunyangwa ukuba zixilongwe kwangethuba. Ke ngoko, ukuba uqala ukuba nokungcangcazela okungachazwanga, kubalulekile ukubona ugqirha. Ndiza kuziva bhetele nini emva konyango? Kuza kuthatha ixesha elingakanani ukuze ndiphile?
Ixesha lokuchacha emva konyango olwahlukeneyo lixhomekeke kwizinto ezininzi, kuquka nendlela yonyango. Ugqirha wakho ngoyena mthombo wolwazi malunga nemeko yakho. Angakunika ulwazi oluhambelana nemeko yakho ethile. Ngaba umngcipheko wokuba ne-Essential Tremor ungancitshiswa okanye uthintelwe ngokupheleleyo?
Ukungcangcazela okubalulekileyo kwenzeka ngequbuliso, ngoko ke akunakwenzeka ukuthintela le meko okanye ukunciphisa umngcipheko wayo. Kuza kwenzeka ntoni ukuba ndine-Essential Tremor?
Ukungcangcazela okubalulekileyo yimeko edla ngokuba mandundu ngokuhamba kwexesha. Idla ngokwenzeka kancinci kakhulu. Ukungcangcazela esandleni okanye ezingalweni kudla ngokwanda nge-1.5% ukuya kwi-5% ngonyaka. Kuqala kancinci, kuqala kuchaphazele izandla kuphela. Ekuhambeni kwexesha, ngokuqhelekileyo emva kweminyaka eliqela, ukungcangcazela kunokusasaza iingalo kwaye kuchaphazele intloko. Njengoko imeko isiba mandundu, kunokuba nzima ukwenza imisebenzi ethile kwaye unokufuna uncedo. Ihlala ixesha elingakanani i-essential trembling? Ngaba iya kuphela?
Ukungcangcazela okubalulekileyo yimeko ehlala ihleli, ehlala ihleli xa sele iqalile. Ayinakuphiliswa, kwaye ayipheli yodwa. Injani imeko yomntu one-Essential Tremor?
Ngaphambili, igama elithi "benign" (elithetha "akunabungozi") lalisetyenziswa njengenxalenye yegama (elibizwa ngokuba yi "benign essential tremor"). Nangona kunjalo, iingcali ngoku ziyaqonda ukuba nangona i-essential tremor ingenabungozi ngokuthe ngqo, inokubangela ukuphazamiseka okukhulu ebomini. Abantu abanokungcangcazela kakhulu banengxaki ngezinto ezifana nokupheka, ukusebenzisa izixhobo zokutya, ukusela kwikomityi, ukuzicoca, kunye nokunxiba. Abanye abantu ekugqibeleni abakwazi ukuhlala bodwa kwaye kufuneka bahlale neentsapho okanye kwindawo yokhathalelo oluxhasayo.
Ndingazinyamekela njani?
Ukungcangcazela okubalulekileyo yimeko eqala ngeempawu ezincinci kakhulu, ngamanye amaxesha ezingabonwayo, ize iqhubeke kancinci. Ngokuqhelekileyo kuthatha iminyaka ukuba iimpawu zifikelele kwinqanaba apho unyango lucetyiswa khona. Nangona kunjalo, abantu abaninzi basenokungafuni unyango de iimpawu zabo zibe nzima ngakumbi. Nazi ezinye zezona zinto zibalaseleyo onokuzenza ukuze uzinyamekele:- Musa ukoyika ukuthetha inyaniso ngeempawu zakho. Abantu abaninzi bayadana yile meko. Xa uxelela ugqirha wakho into ojongene nayo ngokunyaniseka, uya kufumana umfanekiso opheleleyo wemeko yakho. Oku kuya kumnceda ukuba akuphathe kakuhle.
- Bona ugqirha wakho njengoko kucetyisiwe. Ukutyelela ugqirha wakho okulandelayo kuya kukunceda ujonge imeko yakho. Banokutshintsha amayeza akho ukuba kuyimfuneko okanye bacebise iindlela zonyango ezingcono.
- Sela amayeza akho njengoko kuyalelwe. Amayeza anokunceda ukunciphisa iimpawu zokungcangcazela okubalulekileyo kunye nokunciphisa ukuphazamiseka ebomini bakho okubangelwa yile meko. Ukuba ugqirha wakho unika amayeza, asele kanye njengoko kuyalelwe. Amanye amayeza anokubangela iziphumo ebezingalindelekanga ezingathandekiyo okanye ezinzulu ukuba uyeka ukuwasela ngequbuliso. Ngoko ke ungayeki ukuwasela ngaphandle kokuthetha nogqirha wakho.
- Fumana ukuba yintoni ebangela ukungcangcazela kwakho kwaye ukuphephe. Ukungcangcazela okubalulekileyo kudla ngokuba mandundu xa udiniwe, uxinezelekile, uxhalabile, okanye uphazamisekile. I-caffeine ingenza iimpawu zakho zibe mandundu. Ukuziphepha ezi zinto nanini na kunokwenzeka kunokwenza umahluko omkhulu kwiimpawu ozifumanayo.
- Fumana uncedo kwitekhnoloji. Ngokuhambela phambili kwetekhnoloji, kukho iindlela ezintsha zokunceda abantu abane-Essential Tremor. Enye yezona zinto zibalulekileyo zizixhobo ezizilungelelanisayo. Ezi zinokuphucula kakhulu umgangatho wobomi bakho kunye nokukwazi kwakho ukuphila ngokuzimela.
Ndifanele ndidibane nogqirha nini? Okanye ndifune ingcebiso kugqirha?
Ukuba uqala ukuba neengcangcazela ezingachazwanga, kufuneka ubonane nogqirha. Ugqirha wakho uza kucwangcisa utyelelo olulandelelanayo rhoqo ukuze ajonge imeko yakho aze alungise unyango lwakho njengoko kufuneka. Olu tyelelo lunokunceda ukunciphisa iziphumo eziphazamisayo zemeko, ngoko ke kubalulekile ukuya njengoko kucetyisiwe. Ukuba ufumanisa ukuba iimpawu zakho ziya zisiba mandundu kwaye ziphazamisana nemisebenzi yakho yemihla ngemihla, okanye ukuba uneziphumo ebezingalindelekanga eziphazamisayo ezivela kumayeza okanye kunyango lwakho, kufuneka ubonane nogqirha wakho. Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?
Ukungcangcazela okubalulekileyo akuyongxaki esongela impilo yakho kunye nokuphila kakuhle. Ngenxa yoko, akunakwenzeka ukuba kubangele iimpawu ezifuna unyango olukhawulezileyo. Nangona kunjalo, thetha nogqirha wakho ukuze ubone ukuba kukho naziphi na izizathu zokuba ungadinga unyango olukhawulezileyo. Angakuxelela into omawuyijonge kunye nento omawuyenze ukuze uzinyamekele ukuba kuvela iingxaki ezinjalo. Okokugqibela, izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
Ukungcangcazela okubalulekileyo yimeko apho amalungu omzimba wakho, amaxesha amaninzi izandla neengalo zakho, zingcangcazela. Ekuqaleni, kusenokuba yinto encinci ecaphukisayo. Nangona kungengombandela osongela ubomi, ukuba ukungcangcazela kuba nzima, kunokwenza kube nzima ukuba uzinyamekele okanye uphile ngokuzimela. Kuqhelekile ukuba neentloni kwaye ukhathazeke ngokungcangcazela okubangelwa yile meko. Kungakhokelela kwiingxaki zempilo yengqondo ezifana nokuxhalaba nokudakumba. Nangona kunjalo, iindaba ezimnandi zezokuba kukho iindlela ezininzi zokunyanga le meko. Kukwakho nezixhobo ezininzi ezinokukunceda ukuba ulawule kwaye uziqhelanise nale meko. Ezi zinokunciphisa impembelelo kumgangatho wobomi bakho. Ngoko ke ungoyiki, ungabi neentloni, kwaye funa ingcebiso kagqirha ngokukhawuleza. Ukungcangcazela okubalulekileyo, ukungcangcazela, izifo zemithambo-luvo, iingxaki zokuhamba, isifo sikaParkinson, ukungcangcazela kwezandla, impilo
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